Online ISSN: 2515-8260

Author : Efriani, Rolita


Qualitative Study On Mother’s Experiences For Self-Management Of Gestational Gestational Diabetes Mellitus

Mufdlilah .; Aseel Abdulameer Mohammed; Rolita Efriani; Dewi Rokhanawati

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 70-78

Background:Gestational diabetes mellitus (GDM) becomes common cases over the globe. GDM prevalence is counted as 1-3% out of all pregnancies in the west and 90% of them are complicated by diabetes. GDM is related with the increasing of maternal risk and short-time or long-term perinatal complication.GDM incidents in Indonesia are identified around 1,9-3,6% and around 40-60% women, who ever experienced with GDM, on the further observation after labouring will have diabtes melitus or glucose tolerance disorder. This research is aimed to identify the mother’s experience in GDM self-management.
Methods: This research is a qualitative research with phenomenology approach. This research was conducted on October 2018 – June 2019. The data were collected by employing interview that supported by documentation study over 8 mothers who had GDM interview and 3 midwives in charge at the KIA poly service. The data were analyzed by using thematic analysis.
Results: Qualitative analysis resulted five themes that cover nutrition management, education, glucose monitoring, sports and medication. The results showed that pregnancy mother tried to control the eating pattern as suggested by the health-workers. The mothers should conduct routine glucose controlling, perform physical activity, such as regular walk, perform house works or pregnancy workout. The appropriate medication during the pregnancy involves insulin.
Conclusion: This research reveals mothers’ experiences in GDM self-management in terms of lifestyle. The result of the research could be a valuable guidance in developing comprehensive self-management service, by considering more on mother’s self-management. The necessities of more effective GDM counceling is required to ensure clear understanding about principal self-management for pregnant mothers, hence it could help mother in enhancing adaptation and ability in dealing with GDM. Besides, it could increase the alert towards the risks on pregnancy with diabetes mellitus. Hence screening examination on diabetes melitus.
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GDM is related with the increasing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk asing of maternal risk and and short short -time or long time or longtime or longtime or longtime or long time or longtime or long time or long-term perinatal complication perinatal complication perinatal complicationperinatal complicationperinatal complication perinatal complicationperinatal complicationperinatal complicationperinatal complication perinatal complication .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia .GDM incidents in Indonesia are are are identified around 1,9 identified around 1,9 identified around 1,9 identified around 1,9 identified around 1,9identified around 1,9 identified around 1,9 -3,6% 3,6% and around 40 and around 40 and around 40 and around 40 and around 40and around 40 and around 40 -60% 60% 60% women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with women, who ever experienced with GDM, GDM, on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melituson the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus on the further observation after labouring will have diabtes melitus or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance or glucose tolerance disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self disorder. This research is aimed to identify the mother’s experience in GDM self -management.management.management.management. management.management.management.management.Methods: Methods: This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This research is a qualitative with phenomenology approach. This This This research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 research was conducted on October 2018 – June 2019. June 2019. June 2019. June 2019. June 2019. The da The da ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected ta were collected by by employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM employing interview that supported by documentation study over 8 mothers who had GDM interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by interview and 3 midwives in charge at the KIA poly service. The data were analyzed by using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis. using thematic analysis.Results:Results:Results: Results: Results: Qualitative analysis resulted Qualitative analysis resultedQualitative analysis resultedQualitative analysis resulted Qualitative analysis resultedQualitative analysis resultedQualitative analysis resultedQualitative analysis resulted Qualitative analysis resulted Qualitative analysis resultedQualitative analysis resultedQualitative analysis resulted Qualitative analysis resulted Qualitative analysis resultedQualitative analysis resulted five themes five themesfive themesfive themes five themesfive themesfive themesfive themes that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, that cover nutrition management, education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy education, glucose monitoring, sports and medication. The results showed that pregnancy mother tried mother tried mother tried mother tried mother tried mother tried mother tried mother tried mother tried to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating to control the eating pattern as suggested by the health pattern as suggested by the healthpattern as suggested by the health pattern as suggested by the healthpattern as suggested by the health pattern as suggested by the health pattern as suggested by the health pattern as suggested by the health pattern as suggested by the health pattern as suggested by the healthpattern as suggested by the health pattern as suggested by the healthpattern as suggested by the healthpattern as suggested by the healthpattern as suggested by the healthpattern as suggested by the health pattern as suggested by the health-workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers workers. The mothers should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose should conduct routine glucose controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular controlling, perform physical activity, such as regular walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the walk, perform house works or pregnancy workout. The appropriate medication during the pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin. pregnancy involves insulin.Conclusion:Conclusion: Conclusion:Conclusion: Conclusion: Conclusion:Conclusion: This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self This research reveals mothers’ experiences in GDM self -management in termmanagement in term management in term management in termmanagement in termmanagement in termmanagement in term management in termmanagement in term s of lifestyle. of lifestyle. of lifestyle. of lifestyle. of lifestyle. of lifestyle. The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing The result of the research could be a valuable guidance in developing comprehensive selfcomprehensive self comprehensive self comprehensive selfcomprehensive selfcomprehensive selfcomprehensive selfcomprehensive self comprehensive selfcomprehensive self comprehensive self -management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self management service, by considering more on mother’s self -management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear management. The necessities of more effective GDM counceling is required to ensure clear underunderunder understanding about principal self standing about principal selfstanding about principal selfstanding about principal self standing about principal self standing about principal self standing about principal self standing about principal self standing about principal selfstanding about principal selfstanding about principal self standing about principal selfstanding about principal self standing about principal self -management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help management for pregnant mothers, hence it could help mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDMmother in enhancing adaptation and ability dealing with GDM mother in enhancing adaptation and ability dealing with GDM. 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Besides, it could increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with increase the alert towards risks on pregnancy with diabetes mellitus diabetes mellitus diabetes mellitusdiabetes mellitusdiabetes mellitus diabetes mellitus diabetes mellitusdiabetes mellitus. 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